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ABLM NORTHEAST PROFESIONAL ASSOCIATION NPI 1710054994


NPI Information

NPI: 1710054994
Provider Name: ABLM NORTHEAST PROFESIONAL ASSOCIATION

Doing Business As: ABLM FAMILY DENTAL CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2116 LOGAN AVE
WATERLOO, IA
ZIP 50703
Phone: (319) 235-1151
Get Directions

ABLM NORTHEAST PROFESIONAL ASSOCIATION is a general practice dentist in Waterloo, IA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ABLM NORTHEAST PROFESIONAL ASSOCIATION NPI is 1710054994. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ablm Family Dental Center.

The provider's business location address is:

2116 LOGAN AVE
WATERLOO, IA
ZIP 50703-006
Phone: (319) 235-1151
Fax: (319) 235-2804

The provider's authorized official is Marvin C. Vore .
The authorized official title is Partner and has the following contact phone number (319) 235-1151.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10008052MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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